优化前列腺癌根治术病人术后结局围术期运动的最佳证据总结

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Summaryofthebestevidenceonperioperativeexercisetooptimizeoutcomesinpatientsundergoingradicalprostatectomy

LIUJia，LIXuemei，CHENXiaomei，ZHANGZuli，ZHANGHuan，TAOYuqing，YANGYanniTheSouthwestHospitalofArmyMedicalUniversity，Chongqing400038ChinaCorrespondingAuthorYANGYanni，Email：yangyanni@tmmu.edu.cn

AbstractObjective：Tosummarizetheevidencerelatedtoperioperativeexerciseafterradicalprostatectomyinordertoprovideabasisforclinicalimprovementofurinaryincontinenceandhealthrelatedqualityoflifeafterradicalprostatectomy.Methods：Relevantliteratureonperioperativeexerciseforradicalprostatectomy，includingclinicaldecisionmaking，guidelines，evidencesummaries，expertconsensus，systematicreviews，andrandomizedcontrolledtrials（RCTs）whicharenotincludedinthesystematicreviewsandevidencesummarieswereretrievedfromBMJBestClinicalPractice，EvidenceBasedHealthCareCenterDatabase，UpToDate，theCochraneLibrary，PubMed，CNKI，Yimaitong，andotherdatabasesandrelatedwebsites.ThesearchtimelimitwasfromJanuary1，2012，toDecember29，2022.Tworesearcherswhohavereceivedsystematicevidencebasednursingtrainingindependentlyscreenedtheliterature，extracteddata，andevaluatedthequalityoftheincludedliterature.Then，theyextractedevidencefromtheliteraturethatmetthequalitystandards，gradedthequalityoftheevidence，andsummarizedthebestevidenceofperioperativeexerciseafterradicalprostatectomy.Results：Atotalof8879documentswereretrieved，and21documentswerefinallyincluded，including2guidelines，9systematicreviews，2evidencesummaries，and8RCTs.Theoverallqualityoftheincludeddocumentswashigh.Atotalof36piecesofevidencecovering5aspectsweresummarized：exercisebenefits，exerciseassessment，pelvicfloormuscletraining，wholebodyexercise，andearlypostoperativeactivities.Conclusions：Perioperativeexercisecaneffectivelyimproveurinaryincontinenceandhealthrelatedqualityoflifeafterradicalprostatectomy.Professionalsshoulddeveloppersonalizedperioperativeexerciseprogramsforpatientsundergoingradicalprostatectomybasedonclinicalsituations，regionalculturalfactors，andpatientpreferences.

Keywordsradicalprostatectomy;urinaryincontinence;qualityoflife;pelvicfloormuscletraining;exercise;evidencebasednursing;summaryofevidence

摘要目的：總结前列腺癌根治术围术期运动相关证据，为临床改善前列腺癌根治术后尿失禁和健康相关生活质量提供依据。（剩余12958字）

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